Improving the Quality of Nursing Care Essay

Nurse’s care for several patients in a day and it is important to understand the patient as a whole person to treat them effectively. The purpose of this assignment is to explore a patient’s disease to understand the nursing judgments and interventions involved, the medications for this diagnosis, and to understand the disease. The patient described in this paper will be referred to as Jonathan to ensure patient confidentiality.

Burkhardt, M. & Nathaniel, A. (2008). Ethics & issues: In contemporary nursing, (3rd ed.) Clifton Park, NJ: Delmar

1 Understand the requirements of legislation and agreed ways of working to protect the rights of individuals at the end of life.

I think the feedbacks that I have received were really useful and will certainly help me with my future personal and professional development. I feel that the given feedback has pointed out my weakness and that point that I need to work on for the future. It has motivated me to join in group deciosituon and to express my ideas. I feel much confidence when talking to others especially in group discussions. I understand that nursing is a profession that requires you to be more confidence with communication as you have to work with lots of different people from all sorts of different backgrounds and therefore, practicing these skills will become handy for the future.

Answering the call light (also called call bell a handheld like that is attached to the patient room wall, above the headboard of the bed) in a timely manner by the nursing staff in hospital setting is necessary to prevent falls that can harm, prolonged stays, and unnecessarily increase the cost of healthcare. However, researches concerning call light uses as it relates to patient safety, patient-care management and patient satisfaction are limited (Meade et al. 2006). Patients and their families emphasize that nurses should monitor patients constantly and provide assistance and answer a call light in a timely manner (Yoder, 2011). Note that the falls may be caused by several factors such as

They are responsible for what seems like everyone and everything. However, nurses have all the tools they need to be effective and safe nurses early on. The standards of precautions are one of those tools nurses are taught that aids them in protecting every patient they care for, including him or herself. Regardless of the patient’s health status, the nurse should use their better judgment when implementing care. In order to prevent interruption in the chain of infection, nurses are to adhere to the standards of precautions by thinking critically when providing patient care. No matter how presumably capable or experience a colleague may be, evidence-based practice proves that standard precautions are greatly impacting the nursing field. Nurses need to stick to their guns and not compromise their beliefs for fear of being the odd man out. The more the nurse implements those practices in their everyday routine the more it will become second nature. By gaining knowledge of the importance of standard precautions, the nurse will in turn become more compliant and adherent, and be better suited to provide effective quality care to all

Nursing can be a demanding career, but the benefits far much outweigh the challenges. Most importantly, it’s the rewards it offers by allowing an opportunity to make a difference in another person’s life through the provision of care when they need it. Just as Patricia Benner theorized in her book “Novice to Expert,” nursing encompasses both educational knowledge and extensive clinical experience acquired throughout one’s career. This far, I continue to acquire knowledge and clinical knowhow which will promote proper and efficient care to patients. Since I began practicing one year ago in a long-term healthcare facility, I have interacted with patients, families, physicians and other members of the healthcare team to coordinate patient’s care which has enabled me to gain confidence in myself. While I cannot deny that it was difficult to transition from a student to a licensed nurse, I learnt to overcome these challenges and focus on my strengths. Practicing as an LPN has provided a platform to learn and gain experience even though the duties and responsibilities are limited by the scope of practice.

My practicum setting will be an associate degree nursing program, Joliet Junior College (JJC), one of the oldest community colleges in Illinois. The mission of the school is focused on offering students an affordable, accessible valued education for a lifelong profession in nursing, and to serve the community (Joliet Junior College [JJC], n. d.). Accordingly, the school’s philosophy is based on preparing students to be exceptional providers in the growing healthcare system, providing safe and high quality care (JJC, n. d.). The foundation of the JJC nursing program is based on four major principles: client, environment, health and nursing (JJC, n.d), while their conceptual framework is grounded in the fundamental structure of three major theories which forms the basis of the concepts, skills, and principles of the nursing practice (JJC, n. d.). The three major theories are: Maslow’s Hierarchy of Needs, Levels of Prevention and the Nursing Process (JJC, n.d.). Joliet Junior College nursing school offers a competitive program and combines the traditional classroom experiences, in-class high-fidelity simulations labs, online augmentation theory lectures, and clinical experiences in health facilities throughout the community (Joliet Junior College [JJC], 2016).

Moral distress is experienced by nurses every day in today’s health care system. Moral distress has been found to be manifested as anger, frustration, guilt, loss of self-worth, depression, powerlessness and helplessness (Zuzelo, 2007, p. 346). Failure to recognize and manage moral distress is causing nurses to be “burned out” have high turnover rate, and even leaving nursing profession all together.

Nursing is a growing and evolving field that changes with new initiatives, government regulations, and technology. There is great demand in the field and new nurses are constantly called to meet the needs of patients. As the population of our country ages, the number of nurses needed to meet these demands will increase. The field of nursing does not just involve the direct care of patients. A number of careers within the field support policy, management, and coordination of patient care. Quality Improvement nursing is one career that can be obtained by a registered nurse that does not involve direct patient care. Quality Improvement nursing involves initiating policies and changes within the facility to improve patient care as well as lower facility costs, increase patient safety, and increase nurse satisfaction. This career has grown drastically in the last few decades due to health care reform acts, insurance regulation changes, and advances in technology. The position of quality improvement requires a unique set of skills and training, a higher salary matrix, as

Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

Nurses provide excellent patient care, teach patients about health conditions, and give advice and support to patients and their families. Nurses have a variety of duties. They must monitor and record patient symptoms, take vital signs, watch patients diet and physical activity, supervise less skilled nurses, and order and interpret tests to access the condition of the patient. Nursing can be a wonderful, caring, and thoughtful job. However, to other nurses: nursing can be a difficult, tiring, and stressful job. Any job can be tough but nursing is emotionally and physically draining on a person. Nursing can be such a burdensome and demanding job sometimes because of the long hours, the exam to become a nurse, and dealing with other people.

A nursing diagnosis identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular emphasis will be placed on proposed interventions to achieve Mr. Bertoli’s healthcare goals and the provision of rationales. This is important to justify the significance of the interventions and indicate

This is essay is going to examine the principles of nursing and health. In order to do this it must look at the concept of health then describe the dimensions that make up health. Secondly, an adult individual will be chosen in order to discuss the determinants that affect their health. It will then go on to explain the underpinning professional, ethical and legal principles that would be taken into consideration if the individual were to require nursing care. Finally, it will identify how carrying out this assignment has informed the writers personal concept of nursing.

This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.